Individual
DR. NIKOLAY SHAVLADZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22999 HIGHWAY 59 N, KINGWOOD, TX 77339-4412
(346) 323-3036
Mailing address
22999 HIGHWAY 59 N, KINGWOOD, TX 77339-4412
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
86737
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
86737
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2014
Last updated
03/25/2025
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